This form will enable the coaching staff to receive information on high school students interested in learning more about Harvard University. Please note this is NOT an official university application. In addition, NCAA rules prohibit coaches from contacting high school freshmen and sophomores.

Thank you for taking the time to complete this.

Personal Information
Last name
First name
Initial
E-mail address
Home telephone
Street address
City
State
Zip or postal code
Country
Date of birth
Graduation date
Height
Weight
Ethnic background (optional)
Background
Name of high school
High school address
City
State
Zip
Your grade		Senior Junior Sophomore Freshman Post-graduate Other
GPA
Class rank
Class size
SAT	Verbal
	Math
	Date
SAT II	Verbal
	Math
	Date
ACT	Composite
	Date
Guidance counselor
Non-Athletic Activities
Please note here any interesting or relevant activities
Athletic Activities
Soccer position(s)
What honors have you received in soccer? Include clubs or regional teams, if any.
What other sports do you play?
What honors have you received?